Individual
JASON HEIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
600 LINCOLN AVE, CHARLESTON, IL 61920-3011
(217) 581-7677
Mailing address
600 LINCOLN AVE, CHARLESTON, IL 61920-3011
(217) 581-7677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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